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Contact Information

KRISTIN J MATTESON, PHD
740 OAK AVE
#B
CARLSBAD, CA92008
 Phone: 760-729-6455
 Fax: 760-729-6455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTIN J MATTESON · (Female)

NPI # 1083697304
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/21/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # CA PSY 14416
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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